Martha Kathleen Jarvis, MS PT ATCL

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10828 Issued in FL

Practice address

4237 13TH St
Saint Cloud, FL 34769-6732

Phone

(407) 957-6290

Fax

(407) 891-9183

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Caballero-Jarvis Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Florida Sports & Physical Therapy LLC

  • Physical Therapist
  • Saint Cloud, FL
  • NPI 1205172947
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1598826083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700097",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347700097",
            "telephone_number": "407-957-6290",
            "fax_number": "407-891-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696732",
            "telephone_number": "407-957-6290",
            "fax_number": "407-891-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "MARTHA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "MS PT ATCL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "CABALLERO-JARVIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sheeja Jacob, APRN
• Syed A Jafri, M.D.
• Bernette James
• Jessica James, MS
• Sabrina Daniela Jarrett, MS,RD,CSR,LDN,CHC
• Dawn M Jasiczek
• JBM Health Services LLC
• JCP Professional Consulting LLC
• Christopher Jean Pierre
• Jamie Jit, LPCC

• Physical Therapist in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.